Individual
DR. GARY LYNN GOTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D.
Contact information
Practice address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8778
(260) 486-7679
Mailing address
4205 HOBSON CT, FORT WAYNE, IN 46815-8648
(260) 486-8778
(260) 486-7679
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7341
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181210A
—
IN
Enumeration date
09/12/2006
Last updated
10/11/2016
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